**Job Description Summary:** **Job Description:** The 340B Program Director is responsible for leadership of the pharmacy 340B drug discount program for all qualified entities, CHC pharmacies, external vendors, and between the contracted pharmacies. Such leadership and coordination includes ensuring compliance with all federal regulations and related interpretations, ensuring the program is fully implemented in all areas of qualified use, and ensuring records and documentation are complete and accurate. The Director is responsible for data analysis to enable CHCI, its patients and pharmacy customers to receive maximum benefit from the 340B program. **340B Program Director General Duties** + Serves as CHCI's compliance expert on 340B Program details, policies and procedures. + Acts as the liaison with necessary affiliated departments and CHC pharmacies to ensure 340B Program integrity. + Leads CHCI's 340B oversight committee, which includes members from leadership, pharmacy, compliance, legal and finance. + Provides expertise with the 340B Program to staff and participants regarding ongoing compliance. + Develops and maintains internal relationships: Medical (CMO/CNO/CPO, pharmacy management), Finance, Operations and Legal, as well as external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator (TPA) vendors) as needed. + Actively engages with CHCI leadership and participates in decision-making processes related to the implementation of new 340B processes. **Policy and Procedure Development** + Ensures that policies and procedures are developed, implemented and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by CHCI's legal department. + Establish consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary cost. **Education** + Provides ongoing training, education and communication in collaboration with pharmacy and medical team required for the 340B Program at CHCI. + Develops training/competency materials for all employees who work with the 340B Program. + May assist in the development, implementation, or promotion of programmatic resource/tools to support staff. + Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient to address any problems or suggestions for improvement. + Establishes a clear way for CHCI staff to communicate concerns to the manager. **Regulatory Surveillance and Compliance** + Monitors and assesses 340B regulations, guidance and /or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Ensure ongoing compliance with all applicable requirements + Attends regular 340B training and shares lessons and hot topics with staff. + Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure CHCI has latest information regarding interpretations, rulings, suggestions and advanced ideas for improving participation. + Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams. + Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions to determine the most appropriate use of 340B Program staff. **Registration/Recertification** + Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame. + Responsible for ensuring that the HRSA 340B OPAIS (Office of Pharmacy Affairs Information System) is accurate for all organization entities. + Responsible for ensuring registration of any new associated sites are within the allowable time frame. **Self-Audits** + Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings. + Conducts and/or coordinates and annual audit of all CHC and contract pharmacies. Documents results and follow-up on any findings. + Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and "covered patient" eligibility. + Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate system checks are reviewed to prevent billing issues. + Monitors utilization records and 340B purchasing accounts to ensure that software/tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. + Monitors 340B compliance within workflow processes. + Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications and prescriptions filled by 34